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For more than 25 years, Model N has been the leader in end-to-end commercialization, revenue optimization, and compliance for pharmaceutical and medtech innovators.
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Retrieving Medicaid invoices and claim level detail (CLD) is a manual, time-intensive, and error-prone process — one that Agentic AI can fully automate.
- Manual processes bog down analysts, preventing them from focusing on high-value tasks like dispute resolution.
- The number of invoices that must be retrieved and processed increases as you grow your business.
- Processing Medicaid rebates requires numerous steps, which if not automated, increase the risk of human error.
The benefits of Model N Medicaid Invoice Retrieval
Medicaid Invoice Retrieval helps streamline Medicaid rebate processing.
Increased efficiency
Quick, reliable, and automated retrieval of Medicaid invoices and claims.
Reduced risk of non-compliance
Ensure consistent adherence to regulatory requirements and real-time visibility for manufacturers.
End-to-end automation
Increase the accuracy of Medicaid rebate processing with improved dispute identification and double-digit improvement in recovery.
Improved margins
Decrease the likelihood of overpayments and disputed claims.
Scalability
Easily accommodate new labeler codes and invoice types.
Agentic AI automation
Monitors incoming email, retrieves invoices and CLD from all state portals, and activates downstream ingestion – fully autonomously.
36 states, 365 programs
Increased Portal Coverage and expanding
Increase efficiency with a technology-enabled service
Model N Medicaid Invoice Retrieval reduces time-consuming, manual processes.
Automated file retrieval
Leverage Agentic AI to automatically retrieve Medicaid invoices and claim level detail (CLD) from all state portals.
Agentic AI email monitoring
Monitor incoming email to activate invoice and CLD acquisition across state portals, emailed claims, and third-party providers. Automatically request CLD or a PDF of an invoice when one is not immediately available.
Simultaneous processing
Run multiple retrievals at the same time, 24x7 – increasing input productivity and processing speed.
Integral part of Model N Revenue Management software
Automatically activate ingestion of invoice files into Model N PbN or Flex Medicaid application and simultaneously load claim level detail (CLD) files into Model N Validata, including activation of pre-configured validation rules.
Further streamline your Medicaid processes
Model N Medicaid Invoice Retrieval uses Agentic AI to integrate with Model N Medicaid and automatically ingest claims – even when there are changes in various state portals and/or locations.
- Reduce time and money spent managing connections to state databases
- Ensure your processes remain up to date in the event of changes to state portals or specific data locations
- Remain compliant with deadlines
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